Baer J E, Breault G O, Russo H F
Arch Int Pharmacodyn Ther. 1978 Oct;235(2):204-10.
Using conventional clearance technique, the net renal clearance of diflunisal is very low, about 1% of glomerular filtration rate. Although net renal secretion is not demonstrable, probenecid significantly decreased renal clearance of the drug. Also, the renal clearance was increased by increases in urine flow or urinary pH. However, in contrast to acetylsalicylic acid, these effects would be expected to be minor, on the one hand to conserve drug or on the other hand in facilitating drug elimination in cases of overdosage.
采用传统清除技术时,双氯芬酸的净肾清除率非常低,约为肾小球滤过率的1%。虽然未证实有净肾分泌,但丙磺舒可显著降低该药的肾清除率。此外,尿流量增加或尿液pH值升高会使肾清除率增加。然而,与阿司匹林不同,一方面这些作用预计较小,是为了保留药物;另一方面在过量用药时有助于药物消除。